MS. CHRISTAN SHADEENE BLACK AGNP-BC
NPI 1285368423
Nurse Practitioner in Winston Salem, NC

Q: What is Christan Black's NPI number?

The NPI number for Christan Black is 1285368423. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Q: What is Christan Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Christan Black was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2022PECOS Enrolled

2001 TODAYS WOMAN AVE, WINSTON SALEM, NC 27105(336) 722-1818(336) 722-1826 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2024, Jul 13, 2022 (2 updates tracked since 2022).

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About Ms. Christan Shadeene Black Agnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHRISTAN SHADEENE BLACK AGNP-BC (NPI 1285368423) is an individual nurse practitioner in Winston Salem, North Carolina, licensed in North Carolina (5018146) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285368423

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. CHRISTAN SHADEENE BLACKCredential: AGNP-BC

Location Address2001 TODAYS WOMAN AVEWinston Salem, NC 27105-5069

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(336) 722-1818

Fax(336) 722-1826

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 13, 2022

Last NPPES UpdateJune 25, 20242 updates tracked since enumeration

NPPES CertifiedJune 25, 2024

✔ NPI 1285368423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5018146

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2021103998 (NC)

2001 TODAYS WOMAN AVE, Winston Salem, NC 27105

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Secondary Practice Location 1

Location 1650 East Brooklyn Avenuecharlotte, NC 28202 · Phone (540) 676-0685

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Christan Shadeene Black Agnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688035272

PECOS Enrollment IDI20260122003448

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FOUNDATION HEALTH SYSTEMS CORP.

Obstetrics & Gynecology (Gynecology)

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

MRS. MACKENZIE DAY WATKINS NP

Nurse Practitioner

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

MEREDITH S. SMITH PA

Physician Assistant

2001 TODAYS WOMAN AVE, DBA TODAY'S WOMAN
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

CLAIRE MARIE DAVIS NP

Nurse Practitioner

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

DR. RAMAKRISHNAN RAGURAMAN M.D.

Pediatrics

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

NOVANT HEALTH MEDICAL GROUP, LLC

Pediatrics

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

MADISON WHITLOCK BOSWELL CPNP-PC

Nurse Practitioner

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

KYLIE ELIZABETH HANDS WHNP-BC

Nurse Practitioner (Women's Health)

2001 TODAYS WOMAN AVE
WINSTON SALEM, NC 27105

Forsyth County (336) 722-1818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christan Black's NPI number?

The NPI number for Christan Black is 1285368423. It was assigned to this individual provider in the NPPES registry on July 13, 2022.

Where is Christan Black located?

Christan Black practices at 2001 Todays Woman Ave, Winston Salem, NC 27105. The listed phone number is (336) 722-1818.

What is Christan Black's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Christan Black enrolled in Medicare?

Yes. Christan Black is registered in the Medicare PECOS enrollment system.

What insurance does Christan Black accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Christan Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Christan Black was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.